Monash University, School of Public Health and Preventive Medicine, Victoria, Australia; Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Monash University, School of Public Health and Preventive Medicine, Victoria, Australia; Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Victoria, Australia.
Diabetes Res Clin Pract. 2023 Nov;205:110973. doi: 10.1016/j.diabres.2023.110973. Epub 2023 Oct 25.
To describe trends in hospitalisation for subtypes of cardiovascular diseases among people with diabetes.
The data sources included the Australian diabetes registry, admitted hospitalisation datasets, and death registry from 2011 to 2019. The outcomes comprised hospital admissions for: all CVD; all cerebrovascular diseases, ischaemic and haemorrhagic stroke; angina and ischaemic heart disease (AIHD); non-ST elevation myocardial infarction (NSTEMI), ST-elevation myocardial infarction (STEMI); atrial fibrillation and flutter (AFF). Data were analysed using Stata and Joinpoint regression software.Rates were standardised for age and sex. Annual percentage change (APC) was reported.
In type 1 diabetes, there were increases in hospitalisation for all cerebrovascular diseases (APC 4.5, 95 % CI: 1.2, 7.9) and ischaemic stroke (2.3, 95 % CI: 1.6, 3.0). There were declines in STEMI (-2.6, 95 % CI: -5.0, -0.1) and AIHD (-3.1, 95 % CI: -5.5, -0.7). In type 2 diabetes, hospitalisation for all CVD declined (-0.9, 95 % CI: -1.4, -0.3). Hospitalisation rates for ischaemic stroke increased (4.1, 95 % CI: 3.1, 5.1). There were declines in NSTEMI (-2.5, 95 % CI: -3.2, -1.8) and AIHD (-4.2, 95 % CI: -4.8, -3.5).
In type 1 and 2 diabetes, hospitalisation for ischaemic stroke increased while coronary diagnoses declined.
描述糖尿病患者中心血管疾病各亚型住院治疗的趋势。
数据来源包括澳大利亚糖尿病登记处、住院数据集和 2011 年至 2019 年的死亡登记处。结果包括以下疾病的住院治疗：所有心血管疾病；所有脑血管疾病、缺血性和出血性中风；心绞痛和缺血性心脏病（AIHD）；非 ST 段抬高心肌梗死（NSTEMI）、ST 段抬高心肌梗死（STEMI）；心房颤动和扑动（AFF）。使用 Stata 和 Joinpoint 回归软件分析数据。根据年龄和性别对率进行标准化。报告年百分比变化（APC）。
在 1 型糖尿病中，所有脑血管疾病（APC4.5，95%CI：1.2，7.9）和缺血性中风（2.3，95%CI：1.6，3.0）的住院率增加。STEMI（-2.6，95%CI：-5.0，-0.1）和 AIHD（-3.1，95%CI：-5.5，-0.7）的住院率下降。在 2 型糖尿病中，所有心血管疾病的住院率下降（-0.9，95%CI：-1.4，-0.3）。缺血性中风的住院率增加（4.1，95%CI：3.1，5.1）。NSTEMI（-2.5，95%CI：-3.2，-1.8）和 AIHD（-4.2，95%CI：-4.8，-3.5）的住院率下降。
在 1 型和 2 型糖尿病中，缺血性中风的住院率增加，而冠状动脉疾病的诊断率下降。
